摘要
目的探讨腹腔镜下精准肝蒂解剖在肝切除术中应用的安全性和可行性。方法对43例肝脏病变患者施行腹腔镜下精准肝蒂解剖选择性阻断入肝血流后行解剖性肝切除术。患者年龄平均（46．1±3．5）岁。采用锐性＋钝性相结合精准解剖肝蒂显露门静脉、肝动脉及其分支，结合CT及B超等技术，精确判断肝组织缺血范围，完成选择性入肝血流阻断后切除病灶。结果43例均于成功完成精准肝蒂解剖下选择性阻断入肝血流后行解剖性肝切除术。平均手术时间（63．6±11．2）min，平均术中出血量（243．8±35．5）ml，平均术后住院（7．1±1．6）d。结论腹腔镜下精准肝蒂解剖在肝切除术中的应用是安全可行的。
Objective To determine the safety and feasibility of laparoscopic dissection of hepatic pedicle in liver resections. Methods Laparoscopic dissection of hepatic pedicle was performed to achieve selective hepatic vascular inflow occlusion during anatomical hepatectomies in 43 patients with liver lesions. The average age was （46. 1 ±3.5）years. The hepatic pedicle was dissected precisely with sharp and blunt dissections to expose the portal vein, hepatic artery, and their branches. The hepatic ischemic area was judged after selective hepatic vascular inflow occlusion and the liver lesions were then resected. Results All 43 patients received anatomical hepatectomies successfully using the technique of laparoscopic hepatic pedicle dissection for selective hepatic vascular inflow occlusion. The mean operative time was （ 63.6 ± 11.2） minutes. The average blood loss was （243.8± 35.5 ） ml, and the mean hospital stay was （7. 1 ± 1.6） days. Conclusion Laparoscopic dissection of hepatic pedicle in liver resection was feasible and safe.
出处
《中华肝胆外科杂志》
CAS
CSCD
北大核心
2014年第6期422-424,共3页
Chinese Journal of Hepatobiliary Surgery
基金
广西卫生厅科研项目（桂卫Z2009100）
关键词
腹腔镜
精准肝蒂解剖
肝切除术
血流阻断
Laparoscopy
Precise dissection of liver pedicle
Hepatectomy
Blood occlusion
